The client on the inpatient unit who should be assessed as being at highest risk for directing violent behavior toward others is which of the following?
1. A veteran who has a diagnosis of post-traumatic stress disorder who was admitted for severe sleep disturbance secondary to nightmares
2. A middle-aged woman who has completed alcohol withdrawal and is participating in a rehabilitation program
3. An adolescent who was admitted for suicidal ideation and was suspended from school for getting into a fight with a classmate
4. A male client in his twenties who has bipolar disorder with delusions of grandeur
3
Rationale: The greatest risk factor for aggressive behavior is prior history of aggressive behavior. Although the other options contain risk factors (delusions, disturbing symptoms), there is no indication of a prior history of aggressive behavior. Clients experiencing active symptoms of alcohol withdrawal are high risk due to the potential reality distortion, but this risk decreases once the withdrawal is complete.
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